Adaptive Innovations
Special Projects Lead
New York, NY OR Richardson, TX
Sponsorship not specifiedDetected 22 days ago
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About the role
- We automate this work with AI, creating a fundamentally different cost structure compared to incumbents.
- This lets us rapidly take market share by serving the 30% of patients who go untreated today.
- We're starting with home health, then expanding to all delivered care.
Responsibilities
- Own operational domains and drive cross-functional initiatives
- Own end-to-end planning and execution for one or more operational areas: Intake (referral processing, eligibility, scheduling), Clinical operations (documentation workflows, QA), RCM (prior auth, collections, billing), or growth and partnerships
- Scope, plan, and deliver strategic initiatives that integrate software solutions and operational improvements-you're the connective tissue between what operators need and what engineering builds
- Build new teams and departments as the company scales-you'll be at the forefront of standing up the functions that don't exist yet
- Oversee and develop a team of operators, setting priorities, removing blockers, and raising the bar on execution quality
- Own real-world care and financial outcomes for your domains
- Break down ambiguous operational problems into clear requirements, user stories, and acceptance criteria that engineering can build against
- Use analytical rigor-qualitative user insights and quantitative modeling-to drive decisions and prioritize investments
- Build and lead your team
- Hire, onboard, and manage operators who run the day-to-day workflows in your domain-you own the talent pipeline for your function
Requirements
- Proven track record of owning and executing complex projects involving multiple stakeholders and workstreams-you can articulate the load-bearing decisions and why they mattered
Compensation
- Competitive salary and equity compensation
Benefits
- Opportunity for growth in a fast-growing company
- Competitive salary and equity compensation
- Flexible time off policy - we expect most employees to take at least 3 weeks of vacation per year
- 401(k) retirement plan with employer contribution
- Comprehensive health insurance, dental, and commuter benefits
- Experience in healthcare operations or technology-intake, clinical documentation, revenue cycle management
- Healthcare experience (we'll support your learning curve, but you must be an autodidact who will quickly familiarize yourself with the details of the industry)
Company info
- We are fixing US healthcare by building an AI-native physical care platform, starting with home health.
- Home health is a $140B industry with less than $10B in EBITDA - 40% of revenue is spent on pure administrative waste. We automate this work with AI, creating a fundamentally different cost structure compared to incumbents. This lets us rapidly take market share by serving the 30% of patients who go untreated today.
- By reshaping the cost structure of this industry, we unlock its growth.
- We've built one of the best AI teams in the world (from Character AI, Scale, Palantir, Citadel, Jane Street) and paired them with a team of healthcare veterans and ex-MBB strategists to build a new type of healthcare company: one that delivers care at the speed of an AI company.
- Operational strategy (decide which workflows to optimize and in what sequence-these choices determine how fast we scale and which patients we can serve)
- Workflow mastery (map real processes step-by-step, find the leverage points where better systems change the economics of care delivery)
- Cross-functional translation (bridge the gap between operators, clinicians, and engineers-turn messy real-world complexity into crisp requirements that ship)
- one that delivers care at the speed of an AI company.
- Our physical care platform already operates with 30pp higher gross margins than traditional home health providers.
- With our AI advantage, we pay nurses more, remove their admin burden, and unlock the scale economics that have been missing from this fragmented industry.
- If we served this entire $140B market, instead of $10B in EBITDA, we'd drive $60B.
- Our mission is "any care, any where".
- Fundamentally, our incentives are aligned with America.
- Every dollar in revenue we make is two dollars taken out of the healthcare system.
- If we succeed, so does US healthcare.
- We're building an AI operating system that automates the entire back office of home health-collapsing 20+ traditional roles into 2.
- To win, we need someone who owns the operational stack: the complex, high-leverage workflows where automation meets the real world of patient care.
- You will own critical operational domains end-to-end, get deep into the workflows that drive care delivery and revenue, and work directly with product and engineering to ensure we build the right solutions.
- Think of it as a blend of:
- You'll be one of the earliest operational leaders at the company, working directly with the founders, engineering, and operations to build the systems that power care delivery across the USA.
- This role is an operations track that also supports people still figuring out what they want to grow into-strategic finance, product leadership, P&L ownership, or a COO-style path depending on where you spike.
- This role is designed for you if you have a low ego, love solving problems that matter, and are ready to build an industry-changing company.
- You'll own high-impact, ambiguous problems end-to-end, such as:
- Get deep into the workflows you're improving
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